| NPI | 1114417516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1015412) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 276113) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2023-05-05 |